________________
18. Amount required for additional :
Item
Number
Amount required*
No. of children to be
Benefited
a) Classrooms b) Science rooms c) Computer lab rooms d) Library rooms e) Toilets (Girls) 1) Toilets (Boys) g) Drinking water facilities h) Hostels for girls i) hostels for boys 1) Educational facilities like
ramps/labs for children with special needs any other educational infrastructure requirement
TOTAL: • Amount required for physical infrastructure should not be more than State PWD schedule
of rates 19. Voluntary Organization/Society's share, : .
equal to 25% towards item 18 and commitment of Voluntary Organization/ Society to provide the same:
20. Source of investment of voluntary :
organizations society's share given against item 18
21. Central Govt. share equal to 75% :
required against item 18.
It is certified that the information furnished above is true and I am personally liable for any misrepresentation or error,
Date: Place:
Signature of President/Chairman/Secretary
pority Benefits
65
